The product is used to treat and prevent symptoms (wheezing and shortness of breath) caused by ongoing lung disease (chronic pulmonary that is obstructive which includes bronchitis and emphysema). This product contains 2 medications: ipratropium and albuterol (also known as salbutamol). Both medications work by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school.
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Read the Patient Ideas Leaflet if available from your pharmacist you get a refill before you start using this product and each time. Learn how to use this inhaler properly. If you have any relevant questions, ask your doctor or pharmacist.
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Stick to the instructions for "test-spraying" (priming) the inhaler if you are using it for the first time or if you have not used it for more than 24 hours. When priming the inhaler, make sure to spray away from the real face so that you don't get the medication into your eyes.
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Before each inhalation, shake the inhaler well for at least 10 seconds. Breathe this medication by lips as directed by your medical professional, often 4 times daily. If two inhalations at a right time are prescribed, wait at least 2 minutes between them. Your doctor may direct you to also make use of this medicine as needed for wheezing and shortness of breathing. Follow your doctor's directions carefully. Nevertheless, the manufacturer recommends that you do not use a lot more than 12 inhalations in a period that is 24-hour. Doing so may boost the threat of serious side effects.
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The dosage is founded on your medical condition and response to treatment.
Avoid getting this medication into the eyes. It could cause eye pain/irritation, temporary blurred vision, and other vision changes. Therefore, when using the inhaler, tightly put your lips around the mouthpiece and keep your eyes shut.
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Rinse your mouth after using the inhaler to prevent dry mouth and throat irritation.
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If you are using other inhalers at the time that is same wait at the least 1 minute between the employment of each medicine.
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Make use of this medication frequently so as getting the benefit that is most from it. This medication works best if used at evenly spaced intervals. Each day to help you remember, use it at the same times. Do not increase your dose, usage this medicine more regularly, or stop using it without first consulting your medical professional.
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Keep an eye on the amount of inhalations you use, and throw the canister away after you used the labeled number of inhalations regarding the package.
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Learn which of your inhalers you should utilize every day (controller medications) and which you should utilize if your breathing suddenly worsens (quick-relief drugs). Ask your physician in advance what you ought to do in the event that you use your quick-relief inhaler more often (more than 2 days a week), or if your quick-relief inhaler does not seem to be working well if you have new or worsening cough or shortness of breath, wheezing, increased sputum, worsening peak flow meter readings, waking up at night with trouble breathing. Learn when you can treat sudden breathing problems you must get medical help right away by yourself and when.
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Inform your physician if your symptoms don't improve or if they worsen.
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See also How to Use section.
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Headache, dizziness, sickness, dry mouth, shaking (tremors), nervousness, or constipation may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
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Remember that your medical practitioner has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
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This medicine may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the total results are high.
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Infrequently, this medication might cause severe worsening that is sudden of problems right after use. If you have sudden worsening of breathing, get help that is medical away.
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Tell your physician appropriate away if you have any adverse that is serious, including: difficult/painful urination, muscle tissue cramps.
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Get medical help right away if you have any very serious side-effects, including: upper body pain, fast/pounding/irregular heartbeat, rapid breathing, confusion, eye pain/swelling/redness, vision changes (such as for example seeing rainbows around lights at evening, blurred vision).
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A very serious reaction that is allergic this product is rare. However, get medical help right away if you notice any symptoms of a critical allergic reaction, including: rash, itching/swelling (especially associated with face/tongue/throat), severe dizziness, difficulty breathing.
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This isn't a complete list of possible adverse effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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Call your medical professional for medical advice about adverse results. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call your doctor for medical advice about side-effects. You may report effects that are side Health Canada at 1-866-234-2345.
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Before using this product, inform your physician or pharmacist in the event that you have any other allergies if you are allergic to ipratropium or albuterol (salbutamol); or to tiotropium; or to atropine or other belladonna-type drugs; or to levalbuterol; or. This product may contain inactive ingredients (such as soy lecithin from soybeans), which can cause allergy symptoms or other problems. Some individuals who are allergic to peanuts may also be allergic to soy. Talk to your pharmacist for additional information.
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Before using this medication, tell your physician or pharmacist your medical history, especially of: hypertension, cardiovascular disease (such as chest pain, coronary attack, irregular heartbeat), personal or family history of glaucoma (angle-closure kind), difficulty urinating (as an example, due to enlarged prostate), seizure, overactive thyroid (hyperthyroidism), diabetes.
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This drug may make you dizzy or cause blurred vision or other vision changes. Do not drive, use machinery, or do any activity that requires alertness or clear vision you can perform such activities safely until you are sure. Limit alcoholic beverages.
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Before having surgery, tell your doctor or dentist about all the products you utilize (including prescribed drugs, nonprescription drugs, and natural items).
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Older adults may be more sensitive to the relative side-effects of this drug, specially problems urinating or constipation.
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During pregnancy, this medicine ought to be used only once clearly needed. Discuss the risks and benefits with your physician.
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It really is unknown if this medication passes into breast milk. Consult your medical professional before breast-feeding.
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